Organization
GEORGE COUNTY HOSPITAL
Active
Other names
George County Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARMAN WALLEY (DOP)
(601) 673-6181
Entity
Organization
Contact information
Practice address
859 WINTER ST, LUCEDALE, MS 39452-6603
(601) 673-6181
(601) 766-4293
Mailing address
859 WINTER ST, LUCEDALE, MS 39452-6603
(601) 673-6181
(601) 766-4293
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
02122/3.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130446
PK
—
Enumeration date
05/23/2011
Last updated
09/19/2025
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